Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise * Expanded credentials as an expert in Post DD RME * Fully prepped ...
Clinical Pharmacist
$49 - $81/hr
Participate in formulary management, drug utilization review, and other pharmacy-related activities. * Participate in research and quality improvement initiatives related to medication therapy. Job ...
Quick apply
Clinical Pharmacist
$49 - $81/hr
Participate in formulary management, drug utilization review, and other pharmacy-related activities. * Participate in research and quality improvement initiatives related to medication therapy. Job ...
Actively participates in Quality Assurance activities of the Division with regard to treatment Utilization Review, medication monitoring, peer review, procedures and processes. * Completes all ...
Actively participates in Quality Assurance activities of the Division with regard to treatment Utilization Review, medication monitoring, peer review, procedures and processes. * Completes all ...
RN Clinical Care Manager
Tyler, TX · On-site
Participates, as requested, in orientation of new staff, in-service education, continuing education, utilization review and QAPI programs. * Participates in/attends staff development activities and ...
RN Clinical Care Manager
Tyler, TX · On-site
Participates, as requested, in orientation of new staff, in-service education, continuing education, utilization review and QAPI programs. * Participates in/attends staff development activities and ...
RN Clinical Care Manager
Tyler, TX · On-site
Participates, as requested, in orientation of new staff, in-service education, continuing education, utilization review and QAPI programs. * Participates in/attends staff development activities and ...
RN Clinical Care Manager
Tyler, TX · On-site
Participates, as requested, in orientation of new staff, in-service education, continuing education, utilization review and QAPI programs. * Participates in/attends staff development activities and ...
Grad Pharmacist
Winnsboro, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Winnsboro, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Mineola, TX · On-site
$13.50 - $16.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Mineola, TX · On-site
$13.50 - $16.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Pharmacy Intern
Tyler, TX · On-site
$15.75 - $19.50/hr
Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time ...
Pharmacy Intern
Tyler, TX · On-site
$15.75 - $19.50/hr
Alert pharmacists appropriately for drug utilization reviews, calling and resolving third party rejections and rebilling claims, entering and processing refills and adding patients to Refills on Time ...
Grad Pharmacist
Lindale, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Lindale, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Pharmacist- PRN
Tyler, TX · On-site
$55 - $66/hr
Conduct drug utilization reviews and collaborate with prescribers when concerns arise. * Deliver compassionate, patient-centered care with professionalism and empathy. Clinical Leadership & Team ...
Pharmacist- PRN
Tyler, TX · On-site
$55 - $66/hr
Conduct drug utilization reviews and collaborate with prescribers when concerns arise. * Deliver compassionate, patient-centered care with professionalism and empathy. Clinical Leadership & Team ...
Pharmacist- PRN
Tyler, TX · On-site
$55 - $66/hr
Conduct drug utilization reviews and collaborate with prescribers when concerns arise. * Deliver compassionate, patient-centered care with professionalism and empathy. Clinical Leadership & Team ...
Pharmacist- PRN
Tyler, TX · On-site
$55 - $66/hr
Conduct drug utilization reviews and collaborate with prescribers when concerns arise. * Deliver compassionate, patient-centered care with professionalism and empathy. Clinical Leadership & Team ...
Pharmacist- PRN
Tyler, TX · On-site
$55 - $66/hr
Conduct drug utilization reviews and collaborate with prescribers when concerns arise. * Deliver compassionate, patient-centered care with professionalism and empathy. Clinical Leadership & Team ...
Pharmacist- PRN
Tyler, TX · On-site
$55 - $66/hr
Conduct drug utilization reviews and collaborate with prescribers when concerns arise. * Deliver compassionate, patient-centered care with professionalism and empathy. Clinical Leadership & Team ...
Grad Pharmacist
$13.50 - $16.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
$13.50 - $16.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Mineola, TX · On-site
$13.50 - $16.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Mineola, TX · On-site
$13.50 - $16.50/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Pharmacy Intern - Grad
Lindale, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Pharmacy Intern - Grad
Lindale, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Lindale, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Lindale, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Winnsboro, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Grad Pharmacist
Winnsboro, TX · On-site
$13.50 - $16.75/hr
... drug utilization review (DUR), pharmacy professional standards such as corresponding responsibility and red flag detection. While in the pharmacy, you will assist the pharmacy team to ensure that ...
Utilization Review information
See Tyler, TX salary details
$20.16 - $24.24
2% of jobs
$24.24 - $28.32
9% of jobs
$31.11 is the 25th percentile. Wages below this are outliers.
$28.32 - $32.39
21% of jobs
The median wage is $35.69 / hr.
$32.39 - $36.47
23% of jobs
$36.47 - $40.55
13% of jobs
$43.72 is the 75th percentile. Wages above this are outliers.
$40.55 - $44.62
10% of jobs
$44.62 - $48.70
8% of jobs
$48.70 - $52.78
5% of jobs
$52.78 - $56.86
5% of jobs
$56.86 - $60.93
2% of jobs
$60.93 - $65.01
2% of jobs
$20
$39
$65
How much do utilization review jobs pay per hour?
As of Aug 26, 2026, the average hourly pay for utilization review in Tyler, TX is $39.84, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $45.77 per hour, depending on experience, location, and employer.
What is a utilization review?
A Utilization Review (UR) job involves assessing the medical necessity, efficiency, and appropriateness of healthcare services. UR professionals, often nurses or healthcare specialists, review patient records, insurance claims, and treatment plans to ensure they meet industry standards and payer requirements. They work with healthcare providers, insurance companies, and regulatory agencies to optimize care while controlling costs. Their goal is to balance quality patient care with cost-effective resource utilization.
What does a utilization review do?
A typical day in Utilization Review involves reviewing patient medical records, evaluating the necessity and appropriateness of proposed treatments or services, and documenting recommendations based on clinical criteria and insurance policies. Utilization Review specialists often collaborate closely with physicians, nurses, and insurance representatives to gather additional information and clarify cases. While much of the role is desk-based and may include remote work options, it requires regular communication with both clinical and administrative teams. This position offers variety and challenge, as no two cases are exactly alike, and there are often opportunities to advance into supervisory or quality improvement roles within the department.
What are the key skills and qualifications needed to thrive in utilization review?
To thrive in Utilization Review, professionals typically need a background in nursing or healthcare, strong clinical assessment capabilities, and a thorough understanding of medical guidelines and insurance regulations. Familiarity with electronic medical records (EMR) systems and utilization management software, and often certification such as Certified Utilization Review Specialist (CURN), are important. Excellent critical thinking, attention to detail, and strong communication skills enable effective case evaluation and collaboration with healthcare teams. These skills and qualifications ensure objective, accurate decisions that support cost-effective, quality patient care within compliance standards.
How do I get into a utilization review?
To become a utilization review specialist, typically a healthcare or related degree such as nursing, health administration, or social work is required. Certification in case management or utilization review, like the Certified Professional in Healthcare Quality (CPHQ), can enhance job prospects, and strong analytical and communication skills are essential for success in the role.
Is utilization review a stressful job?
Utilization review is a healthcare role that involves evaluating medical necessity and appropriateness of services, often under strict deadlines and documentation requirements. The job can be stressful due to high workload, the need for accuracy, and managing complex cases, but stress levels vary based on work environment and individual coping skills.
What are the most commonly searched types of Utilization Review jobs in Tyler, TX?
The most popular types of Utilization Review jobs in Tyler, TX are:
What are popular job titles related to Utilization Review jobs in Tyler, TX?
For Utilization Review jobs in Tyler, TX, the most frequently searched job titles are:
What job categories do people searching Utilization Review jobs in Tyler, TX look for?
The top searched job categories for Utilization Review jobs in Tyler, TX are:
What cities near Tyler, TX are hiring for Utilization Review jobs?
Cities near Tyler, TX with the most Utilization Review job openings:
Board-Certified Thoracic Surgeon
Tyler, TX • On-site
Dane Street, LLC •
51 - 200 employees51 - 200 employees
Full-time
Re-posted 26 days ago
Job description
Dane Street is expanding our physician panel! We are seeking a skilled and board-certified Thoracic Surgeon in East Texas to join our team for Post DD RME. This role offers flexible scheduling, allowing you to select or decline assignments based on your availability. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
Dane Street is a national leader in Post DD RME and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.
Key Responsibilities:
Requirements
Benefits
If you are a dedicated Thoracic Surgeon looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
Dane Street is a national leader in Post DD RME and peer review services, trusted by insurance carriers and organizations across the country for objective, high-quality medical evaluations.
Key Responsibilities:
- Thorough review of Medical Records
- Perform in-person evaluations of patients with issues
- Respond to clinical queries to support claims management
- Deliver detailed Post DD RME reports within an expected turnaround time of 5 days
Requirements
- Board-certification required.
- Previous experience in performing Post DD RME is preferred.
- Strong analytical skills and excellent communication abilities are a plus
- DWC Certified required
Benefits
- Robust opportunity for supplemental income
- Schedule flexibility and predictable work hours-conduct exams and reviews based on your schedule availability
- No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
- Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
- Expanded credentials as an expert in Post DD RME
- Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal
If you are a dedicated Thoracic Surgeon looking for a flexible opportunity to apply your expertise in an IME capacity, we encourage you to apply.
About Dane Street
Sourced by ZipRecruiter
Company size
51 - 200 Employees
Headquarters location
Boston, MA, US
Year founded
2008